在产科和妇科的抗生素预防:指导方针的比较审查
Sonia Giouleka1, Ioannis Tsakiridis2, Eleni-Markella Chalkia-Prapa1
1Resident, Third Department of Obstetrics and Gynaecology, School of Medicine, Faculty of Health Sciences, Aristotle University of Thessaloniki, Thessaloniki, Greece.
Obstetrical & gynecological survey
|March 13, 2025
概括
产科和妇科的预防性抗生素可以预防感染,指导方针建议第一代胞素用于剖腹产和子宫切除术. 应避免过度使用,以尽量减少不良影响.
科学领域:
- 产科和妇科 产科和妇科
- 预防传染病 预防传染病
- 药理学 药理学是指药理学的学科.
背景情况:
- 预防性抗生素对于预防产科和妇科手术中的孕产妇和新生儿感染性发病率至关重要.
- 传染性并发症在这些手术中显著增加了患病率和死亡率.
研究的目的:
- 审查和比较最近关于预防性抗生素在产科和妇科手术中的使用指南.
- 确定当前国际建议中的共识和不一致性.
主要方法:
- 主要产科和妇科学院 (ACOG,SOGC,RANZCOG) 的指导方针的描述性审查.
- 分析有关抗生素选择,时间和各种程序的指示的建议.
主要成果:
- 在剖腹产,子宫切除和手术性堕胎的抗生素预防方面存在共识,第一代类作为第一线药物.
- 建议预防早产前膜破裂,但不建议在常规活跃的早产或子宫 cerclage.
- 对于产科关节损伤,手术性阴道分娩和早期怀孕流产而言,存在分歧.
结论:
- 对于适当的抗生素使用,需要一致的国际协议,以尽量减少不良影响并最大限度地提高益处.
- 在产科和妇科护理中,避免过度使用抗生素至关重要.
相关概念视频
Healthcare Associated Infections II: Preventive Measures
2.3K
Essential infection prevention measures are based on the knowledge of the infection chain, the modes of transmission in healthcare settings, and the use of the best practices in all healthcare settings. Compulsory public reporting of healthcare-associated infection rates is needed to allow individuals and the community to make informed choices regarding selecting a healthcare facility.
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
The best practices for preventing healthcare-associated infections include hand hygiene, patient risk...
2.3K
Standard Precaution
1.8K
Standard precautions are the minimum infection control safeguards used while caring for all patients, irrespective of their disease condition. They help prevent the spread of common infectious microorganisms to healthcare workers, patients, and visitors in all healthcare settings.
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
Hand hygiene is the most crucial means to prevent the transmission of disease. Employers are legally required to provide their workers with personal protective equipment (PPE) to minimize exposure or contact with...
1.8K
Antibiotic Selection
52.1K
Overview
52.1K
Transmission-based Precautions I: Contact, Enteric, and Droplets
3.3K
Transmission-based precautions are for patients known to be infected or suspected to be infected or colonized with organisms that pose a significant risk to others. Some transmission-based precautions include contact, enteric, and droplet.
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
Contact Precautions:
Contact precautions are the measures taken to prevent the transmission of infectious agents, especially epidemiologically important microorganisms such as MRSA or influenza, primarily transmitted through direct or indirect contact with an...
3.3K
Surface Membrane Barriers
805
The skin and mucous membranes serve as the primary line of defense against pathogens by providing both physical and chemical protection. These barriers are essential in preventing the entry and establishment of microbes, thereby maintaining the integrity of the host.
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
The outer layer of the skin, the epidermis, is a robust barrier comprising layers of closely packed keratinized cells. This dense arrangement prevents microbes from penetrating the body. The periodic shedding of epidermal cells...
805


